Individual
HYESOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5960 FREDERICK CROSSING LN, FREDERICK, MD 21704-5164
(302) 662-2160
Mailing address
555 STANTON ST APT 216, FREDERICK, MD 21701-7742
(410) 208-8653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418805
VA
1223G0001X
General Practice Dentistry
Primary
19065
MD
Other
Enumeration date
05/09/2024
Last updated
06/09/2026
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